====== Triage Rules for Pediatric Eye and Adult Strabismus Clinics ======

==== Same Day Emergent Referrals ====
Trauma:
  * Penetrating/perforating
    * Metal on metal
    * Severe blunt trauma
    * Mild blunt trauma with ocular symptoms

  * If the patient has multiple injuries or is not being referred by a physician, they should report to the nearest Emergency Room

==== Schedule within 24 hours ====
  * Red Swollen Eye
  * Blood IN eye associated with vision symptoms
  * Chemical burn or cleaner splashed in eye - If the patient has multiple injuries or is not being referred, they should report to the nearest Emergency Room, chemical burns need copious irrigation with water immediately.
  * Postoperative patient with increased redness, pain or swelling
  * Sudden loss of vision

==== Schedule within 2-5 days ====
  * White pupil
  * Absent red reflex
  * Cataract in a baby
  * Red eye
  * Eye pain with tearing, and/or photophobia, eye surface swelling, lid swelling
  * Headache associated with pain and double vision
  * Cloudy cornea

==== Schedule within 2 Weeks ====
  * Sudden onset of strabismus or diplopia in a child
  * Eyes that are constantly misaligned
  * One pupil larger than the other– new onset.
  * Blood on the eye (subconjunctival hemorrhage)

==== Schedule within 1 month ====
  * Child not tracking well
  * Eyes bobbing (nystagmus )
  * Droopy eye lid
  * Chalazion

==== Schedule Next Available ====
  * Longstanding Strabismus, Adults
  * Headaches without visual symptoms
  * Eyestrain when reading
  * Sits to close to TV
  * Excessive blinking
  * Difficulty when reading
  * Abnormal head position/Head Tilt
  * Failed vision screening unless more urgent problem above

==== Retinopathy of Prematurity (ROP) ====
  * ALL appointment cancelling, and rescheduling calls should go through the ROP coordinator

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